Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $12.59 / $19.05	Facility		$0.02	$12.59	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $16.98	Professional		$8.51	$10.47	$16.98